I-tropical sprue

I-tropical sprue yimeko eyenzeka kubantu abahlala okanye abatyelele indawo ezishushu kakhulu ixesha elide. Iphazamisa izondlo ekubeni zifunxwe zisuka emathunjini.

I-tropical sprue (TS) sisifo esichazwa sisifo sohudo esiqatha okanye esinganyangekiyo, ukwehla kobunzima, kunye nokuchaneka kwesondlo.

Esi sifo sibangelwa ngumonakalo kumngxunya wamathumbu amancinci. Ivela ekubeni neentlobo ezininzi kakhulu zebacteria emathunjini.

Imiba yomngcipheko yile:

• Ukuhlala kwindawo yetropiki
• Ixesha elide lokuhamba ukuya kwiindawo ezishushu

Iimpawu zibandakanya:

• Iintlanzi zesisu
• Urhudo, kubi kakhulu kukutya okunamafutha aphezulu
• Irhasi engaphezulu (iiflatus)
• Ukudinwa
• Ifiva
• Ukudumba kwemilenze
• Ukuhla ukusinda

Iimpawu zisenokungabonakali kangangeminyaka eli-10 emva kokushiya iitropiki.

Akukho mmakishi ucacileyo okanye uvavanyo oluchaza ngokucacileyo le ngxaki.

Uvavanyo oluthile luyanceda ukuqinisekisa ukuba ukufunxeka okungalunganga kwezakha mzimba kukhona:

• I-D-xylose luvavanyo lweelebhu ukubona ukuba amathumbu ayifunxa njani iswekile elula
• Uvavanyo lwesitulo ukubona ukuba amanqatha atsaliwe ngokuchanekileyo
• Uvavanyo lwegazi ukulinganisa i-iron, i-folate, i-vitamin B12, okanye i-vitamin D
• Gcwalisa ubalo lwegazi (CBC)

Uvavanyo oluvavanya amathumbu amancinci lunokubandakanya:

• Enteroscopy
• Endoscopy ephezulu
• I-Biopsy yamathumbu amancinci
• Uthotho oluphezulu lwe-GI

Unyango luqala ngolwelo oluninzi kunye nee-electrolyte. Ukutshintshwa kwe-folate, i-iron, i-vitamin B12, kunye nezinye izondlo nazo ziyafuneka. Unyango lwe-Antibiotic nge-tetracycline okanye iBactrim inikwa iinyanga ezi-3 ukuya kwezi-6.

Kwiimeko ezininzi, i-tetracycline yomlomo ayimiselwanga abantwana de kube sele efikile onke amazinyo esisigxina. Eli yeza linokuwakhupha ngokusisigxina amazinyo asaqokelelayo. Nangona kunjalo, ezinye i-antibiotics zingasetyenziswa.

Iziphumo zilungile ngonyango.

Ukunqongophala kwe-Vitamin kunye neeminerali kuqhelekile.

Kubantwana, i-sprue ikhokelela ku:

• Ukulibaziseka ekukhuleni kwamathambo (ukukhula kwamathambo)
• Ukungaphumeleli ukukhula

Fowunela umboneleli wakho wezempilo ukuba:

• Iimpawu zeTropical sprue ziba mandundu okanye zingaphuculi ngonyango.
• Uba neempawu ezintsha.
• Unorhudo okanye ezinye iimpawu zolu phazamiso ixesha elide, ngakumbi emva kokuchitha ixesha kwiindawo ezitshisayo.

Ngaphandle kokuthintela ukuhlala okanye ukuhamba kwiindawo ezitshisayo, akukho kuthintelwa kwaziwayo kwitropiki yeplanethi.

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

URamakrishna BS. Urhudo olushushu kunye nokusetyenziswa okungalunganga. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 108.

ISemrad SE. Sondela kwisigulana ngesifo sorhudo kunye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 131.